Public Health Nursing Documentation Guidelines - Indian Health ...
Public Health Nursing Documentation Guidelines - Indian Health ...
Public Health Nursing Documentation Guidelines - Indian Health ...
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<strong>Documentation</strong> and Coding <strong>Guidelines</strong> for <strong>Public</strong> <strong>Health</strong> Nurses<br />
Menu Technical Information Description Functionality<br />
• AUT v98.1 through<br />
patch 15<br />
• AUPN v 99.1<br />
through Patch 15<br />
plication ensures that<br />
the most accurate<br />
patient data possible is<br />
maintained. The application<br />
provides a<br />
complete, accurate,<br />
and current patient<br />
profile to assist in evaluation,<br />
tracking, and<br />
billing of care provided.<br />
the patient database<br />
but need viewing access<br />
to the information<br />
contained in the patient’s<br />
online record.<br />
The View Patient’s Registration<br />
Data option<br />
contains and presents<br />
all pertinent information<br />
on registered<br />
patients. The screens<br />
available through this<br />
option are identical to<br />
the screens available<br />
for edit, aside from the<br />
lack of editing capabilities<br />
in the view option.<br />
Electronic <strong>Health</strong> Record<br />
(EHR)<br />
The EHR represents a<br />
novel approach to<br />
electronic health records.<br />
Built on the<br />
VueCentric® Framework,<br />
the EHR is a highly<br />
customizable window<br />
into a patient’s<br />
health record. Because<br />
of its flexibility, the EHR<br />
can be tailored to<br />
meet the needs of a<br />
wide range of user<br />
roles: providers, nurses,<br />
pharmacists, clerks,<br />
and others. Because<br />
the exact layout and<br />
configuration of the<br />
EHR will vary among<br />
user roles and health<br />
care facilities, the<br />
components available<br />
to a given user will also<br />
vary.<br />
The RPMS-EHR is comprised<br />
of multiple functional<br />
components<br />
built upon an open<br />
architecture framework<br />
known as<br />
VueCentric. The<br />
unique construction of<br />
the application from<br />
over 70 discrete components<br />
dictates a<br />
slightly different structure<br />
for technical documentation.<br />
All PHN<br />
users need access to<br />
functions that relate to<br />
documentation of patient<br />
care. Directors of<br />
PHN need an additional<br />
key to allow<br />
them to track and<br />
manage consults.<br />
Referred Care Information<br />
System (BMC)<br />
System Requirements<br />
• Referred Care Info<br />
System (RCIS) v3.0<br />
• First-time RCIS install<br />
doesn’t require<br />
v3.0<br />
The Referred Care Information<br />
System<br />
(RCIS) is a group of<br />
computer programs<br />
that automate the<br />
clinical and administra-<br />
The RCIS provides a<br />
standard tool for automating<br />
the referral<br />
process and maintaining<br />
records on referred<br />
care services. There<br />
<strong>Indian</strong> <strong>Health</strong> Service Page 3-6